Visits & medical services prices at Ascension St. Vincent's Riverside

Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.

183 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $61.05 $165 0.3×
Analyze neurostim no prog (95970) $332.45 $898.50 2.4×
Analyze neurostim simple (95971) $514.86 $1,391.50 5.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $44.68 $120.75 3.1×
Bedside Swallowing Eval (92610) $114.79 $310.25 1.4×
Behavioral and qualitative analysis of voice and resonance (92524) $116 $313.50 1.1×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $79.46 $214.75 1.0×
Bfb training ea addl 15 min (90913) $79.46 $214.75 2.4×
Bioimpedance-derived physiologic cardiovascular analysis Facility (93701) $116.74 $315.50 0.8×
Bis extracellular fluid alys lymphedema assmnt (93702) $266.22 $719.50 2.0×
Brief Emotional/Behavioral Assessment (96127) $62.81 $169.75 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $473.83 $1,280.62 1.2×
Cardiac Stress Tst,Tracing Only (93017) $1,382.69 $3,737 6.1×
Cardiopulmonary exercise testing (94621) $721.22 $1,949.25 1.9×
Cardiopulmonary resuscitation (92950) $475.46 $1,285 2.1×
Cardioversion (92960) $1,152.18 $3,114 1.7×
Cbt 1st hour (94644) $117.01 $316.25 0.8×
Chemo Admin Peritoneal Cavity (96446) $421.43 $1,139 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $207.94 $562 2.8×
Chemo Ia Infuse Each Addl Hr (96423) $66.42 $179.50 1.4×
Chemo IV push addl drug (96411) $419.03 $1,132.50 5.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $621.23 $1,679 1.8×
Chemother, IV infusion, 1 hr (96413) $977.91 $2,643 2.8×
Chemother, IV infusion, ea add hr (96415) $349.19 $943.75 4.6×
Chemother,ia infusn tech,<1 hr (96422) $519.67 $1,404.50 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $218.30 $590 2.9×
Chemotherapy into cns (96450) $920.93 $2,489 2.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $483.59 $1,307 6.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $419.03 $1,132.50 1.2×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $316.54 $855.50 0.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $207.94 $562 0.6×
Chronic care management services 1st 20 min (99490) $134.31 $363 1.3×
Color/duplex Doppler, complete (93975) $826.30 $2,233.25 3.3×
Color/duplex Doppler, limited (93976) $764.93 $2,067.38 7.0×
Cpap/bipap (94660) $340.22 $919.50 1.5×
Cpt initial (94667) $95.83 $259 0.7×
Critical care (99291) $1,534.67 $4,147.75 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $153.09 $413.75 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $525.68 $1,420.75 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $357.98 $967.50 3.3×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $291.75 $788.50 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $856 $2,313.50 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $527.25 $1,425 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $852.57 $2,304.25 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $530.12 $1,432.75 4.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,088.26 $2,941.25 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $691.07 $1,867.75 6.3×
Duplex penile vessels ltd (93981) $307.84 $832 2.8×
Duplex scan extracranial art compl bi study (93880) $1,107.60 $2,993.50 4.4×
Duplex Scan Hemodialysis Access (93990) $663.78 $1,794 6.1×
Echo Heart Xthoracic,Limited (93308) $335.96 $908 1.3×
Echo transesophageal (93312) $3,200.69 $8,650.50 5.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,719.04 $7,348.75 4.8×
EEG awake and asleep (95819) $559.72 $1,512.75 2.5×
EEG awake drowsy (95816) $536.22 $1,449.25 2.4×
EEG cerebral death evaluation (95824) $289.25 $781.75 0.7×
EEG coma or sleep only (95822) $559.72 $1,512.75 2.5×
EEG cont rec w/video by tech min 8 channels (95700) $498.67 $1,347.75 2.2×
EEG greater than 1 hour (95813) $505.51 $1,366.25 2.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $413.94 $1,118.75 1.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $763.31 $2,063 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $413.94 $1,118.75 1.8×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $413.94 $1,118.75 1.8×
EKG rhythm strip (93041) $85.29 $230.50 1.4×
Ekg Signal Averaging (93278) $91.58 $247.50 1.5×
Electrocardiogram Tracing (93005) $109.34 $295.50 1.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $559.44 $1,512 2.5×
Er level 1 (99281) $211.73 $572.25 2.4×
Er level ii (99282) $491.18 $1,327.50 3.1×
Er level iii (99283) $1,319.05 $3,565 4.6×
Er level IV (99284) $1,327.56 $3,588 3.0×
Er level v (99285) $1,395.46 $3,771.50 2.2×
Ergonovine provocation test (93024) $623.82 $1,686 1.3×
Eval speech sound production (92522) $116.64 $315.25 1.0×
Eval to use/fit voice prosth (92597) $78.81 $213 1.1×
Evaluate Pt Use Of Inhaler (94664) $132.37 $357.75 0.6×
Exercise tst brncspsm (94617) $293.60 $793.50 2.1×
Exhaled Air Analysis (94690) $228.20 $616.75 3.7×
External ECG rec>7d<15d recording (93246) $280.46 $758 7.2×
External Ecg Scanning Analysis Report (93226) $114.70 $310 1.9×
Group Therapeutic Procedures (97150) $24.79 $67 1.4×
Hemodialysis (90935) $181.58 $490.75 0.3×
High altitude simulation test (94452) $236.80 $640 1.7×
High altitude simulation test (94453) $231.16 $624.75 1.7×
Holter Monitor (93225) $401.36 $1,084.75 2.9×
Immunization Admin (90471) $53.37 $144.25 0.7×
Inhalation bronchial challenge testing (95070) $550.01 $1,486.50 1.4×
Interrog dev eval icpms phys/qhp in person (93290) $106.01 $286.50 2.7×
Iontophoresis 15 min (97033) $56.33 $152.25 3.0×
Irrig drug delivery device (96523) $118.86 $321.25 1.9×
IV infusion hydration each additional hour (96361) $78.44 $212 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $602.18 $1,627.50 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $76.41 $206.50 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $754.71 $2,039.75 3.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $119.70 $323.50 2.4×
IV push ea addl new drug (96375) $238 $643.25 4.9×
IV push initial (96374) $257.24 $695.25 1.2×
Manual therapy 15 min (97140) $36.26 $98 1.3×
Massage 15 min (97124) $42.64 $115.25 1.4×
Maximum voluntary ventilation (94200) $93.98 $254 1.5×
Mechanical chest wall oscillation (94669) $135.88 $367.25 0.6×
Mechanical traction (97012) $40.24 $108.75 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52.08 $140.75 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58.46 $158 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.68 $77.50 1.7×
Methacholine challenge (94070) $946.55 $2,558.25 2.4×
Microvolt T-wave alternans for assessment of ventricular arrhythmias Non-Facility (93025) $487.29 $1,317 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $115.07 $311 1.3×
Multiple Sleep Latency Test (95805) $5,676.08 $15,340.75 6.3×
Neg press wound tx >50 cm (97608) $447.33 $1,209 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $447.33 $1,209 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $213.77 $577.75 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $408.48 $1,104 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $4,099.23 $11,079 10.5×
Nerve conduction studies 13/> studies (95913) $4,366.09 $11,800.25 11.2×
Nerve Conduction Studies 3-4 Studies (95908) $1,258.93 $3,402.50 5.6×
Nerve Conduction Studies 5-6 Studies (95909) $1,888.57 $5,104.25 8.4×
Nerve Conduction Studies 7-8 Studies (95910) $2,395.47 $6,474.25 6.1×
Nerve Conduction Studies 9-10 Studies (95911) $3,120.67 $8,434.25 8.0×
Nerve conduction studies; 1-2 studies (95907) $629.56 $1,701.50 2.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $482.39 $1,303.75 3.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $437.99 $1,183.75 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $118.22 $319.50 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $223.20 $603.25 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $223.20 $603.25 1.7×
Paraffin bath pt (97018) $7.31 $19.75 1.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $205.35 $555 0.9×
Percutaneous tests w/allergenic extracts (95004) $127.19 $343.75 0.1×
Peripheral arterial disease rehab per session (93668) $107.58 $290.75 1.7×
Peritoneal Dialysis (90945) $670.63 $1,812.50 1.5×
Phlebotomy therapeutic (99195) $217.01 $586.50 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $162.43 $439 2.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $162.43 $439 2.6×
Plethysmography (94726) $616.98 $1,667.50 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,143 $13,900 5.7×
Polysom <6 yrs 4/> paramtrs (95782) $2,547.54 $6,885.25 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,739.48 $7,404 3.1×
Pt Electrical Stimulation (97032) $46.62 $126 3.2×
Pt eval high complex 45 min (97163) $100.92 $272.75 1.0×
Pt eval low complex 20 min (97161) $100.92 $272.75 1.0×
Pt eval mod complex 30 min (97162) $100.92 $272.75 1.0×
Pt gait training 15 min (97116) $29.69 $80.25 1.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $39.59 $107 1.2×
Pt Physical Performance Test (97750) $35.24 $95.25 1.0×
Pt Whirlpool Therapy (97022) $17.11 $46.25 1.1×
Pulm Funct Test Oscillometry (94728) $332.54 $898.75 2.5×
Pulm function test by gas (94727) $369.08 $997.50 1.6×
Pulmonary stress test simple (94618) $358.90 $970 2.6×
Pure Tone Audiometry Air Only (92552) $214.79 $580.50 1.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $458.99 $1,240.50 1.3×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $458.99 $1,240.50 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $108.50 $293.25 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $97.59 $263.75 0.7×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $1,303.05 $3,521.75 3.3×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $971.44 $2,625.50 4.3×
Short-latency somatosens ep std upr limbs (95925) $940.63 $2,542.25 4.2×
Sleep study unattended (95806) $619.94 $1,675.50 2.7×
Smoking cessation > 10 min (99407) $50.23 $135.75 1.3×
Speech sound lang comprehen (92523) $147.72 $399.25 0.7×
Spirometry (94010) $218.34 $590.12 1.0×
Ssep lower limbs (95926) $947.48 $2,560.75 4.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $24.88 $67.25 1.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $24.88 $67.25 1.2×
Therapeutic prophylactic/dx injection subq/im (96372) $130.24 $352 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45.88 $124 1.2×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $158.82 $429.25 0.7×
Tte w/doppler, complete (93306) $2,144.15 $5,795 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,194.18 $3,227.50 4.8×
Tympanometry (92567) $57.72 $156 1.5×
Upr/lxtr art stdy 3+ lvls (93923) $515.50 $1,393.25 2.3×
Valvuloplasty pulmonary valve (92990) $31,082.78 $84,007.50 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $755.17 $2,041 6.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $436.74 $1,180.38 1.9×
Veeg 2-12 hr unmonitored (95711) $413.94 $1,118.75 1.8×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $763.87 $2,064.50 2.0×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,511.45 $4,085 3.9×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,429.77 $3,864.25 1.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,511.45 $4,085 3.9×
Veeg Ea 12-26 Hr Unmntr (95714) $763.31 $2,063 2.0×
Vent mgmt inpat init day (94002) $688.85 $1,861.75 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $461.21 $1,246.50 0.7×
Visual Evoked Potential Test (95930) $272.41 $736.25 1.2×
Vital capacity, total (94150) $91.95 $248.50 0.7×